Claims Processor (Insurance) - Pretoria
Pretoria Permanent R36 p.h Clerk: IL Claims Processor_Temporary Assignment Location: Pretoria Salary: R36 p.h Our client in the long term insurance industry in seeking a Claims Processor to process withdrawals and maturity claims. Responsibilities: 1. Processing of investment claims: • Check if the claimant is a correct claimant on the policy • Check if the policy is due to be paid on the particular month • Verify if all premiums where received • Processing maturity, cash provider, cash back, school fund claims within 48hrs of receipt • Prepare for claims approval process • Liaise with Section Leader where necessary (disputed claims) • Liaise and follow up with relevant stakeholders on outstanding claims • Refer dispute claims to Section Leader • Update the clients details on the system • Update AIMS notes 2. Assist walk-in clients: • Receive claims from walk-in clients (Funeral, Cash Backs, and Cash Providers, School funds, Life covers, 4sure and Legacy policies) • Assist walk-in clients with any claims submission, queries/complaints • Submit claims to clerk administrator to register the claims • Liaise with branch offices if they will be receiving outstanding documents from the clients who submitted claims at Head Office 3. Follow up on outstanding investment claims: • Follow- up on outstanding claims documentation/investigation (All old and new claims received) • Update AIMS notes and e-mail branches • Do bi-weekly follow-ups on the correspondence • Give inputs to Section Leader on the finalization of claims without the outstanding document or to defer a claim 4. Reconcile information received, processed and finalised • Compile monthly individual statistics • Compile reports as requested by managers • Compiling all branch registers month end (Death & Withdrawals), making sure all branches captures claims correctly, making follow ups on a weekly basis, confirming with all branch managers. • Compiling all Head Office Registers (Withdrawals and Maturities). Requirements: • Matric • NQF 3 in Insurance • 1 years' experience life insurance
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